40 results
De Winter T Wave ECG Pattern 
STEMI Equivalent - Left anterior descending (LAD) occlusion 

1) Upsloping
ECG Pattern STEMI ... 1 mm) 2) ST depressions ... #DeWinter #TWaves ... #ECG #EKG #Electrocardiogram ... Diagnosis #Cardiology #Criteria
De Winter T-Waves on EKG
 - Anterior OMI
 - 2% of left anterior descending occlusions
 -
on EKG - Anterior ... before or after STEMI ... segment - ST depression ... FOAMfrat #DeWinter #TWaves ... #EKG #ECG #Electrocardiogram
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
point • De Winter syndrome ... • Sgarbossa criterion ... V6 • Sgarbossa criterion ... • Sgarbossa criterion ... #EKG #diagnosis
3 ECG patterns for Acute Occlusion MI (OMI) without meeting ST elevation criteria
 • Posterior MI
3 ECG patterns for ... meeting ST elevation criteria ... • Hyperacute T Waves ... MyocardialInfarction #OMI #STEMI ... #ekg
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
new/old infarct STEMI ... disease - ST depression ... - R/S >1 or ST depression ... isoeIectric in VI with depression ... #EKG #diagnosis
De Winter T Wave on ECG

Diagnostic Criteria
 - Tall, prominent, symmetric T waves in the precordial
Criteria - Tall ... Upsloping ST segment depression ... aVR - “Normal” STEMI ... #DeWinter #TWaves ... #ECG #EKG #Clinical
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
Here’s an ECG of ... normally has ST Depression ... STEMI Criteria misses ... Occlusion #Total #ECG ... #EKG #Electrocardiogram
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
Modified Sgarbossa Criteria ... Modified Sgarbossa Criteria ... - Suspect STEMI ... #Sgarbossa #Criteria ... Diagnosis #Checklist #EKG
Progression of EKG changes in Acute Coronary Syndrome (ACS)
Hyperacute T waves:
 • Broad-based and symmetrical, usually
Progression of EKG ... Acute Coronary Syndrome ... ST take off ST depression ... down-sloping ST depression ... SatyaPatelMD #EKG
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Diagnosis Framework STEMI ... Syndromes • Early ... involved • Brugada Syndrome ... STElevation #ST #STEMI ... #ekg #electrocardiogram